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Products found: 2
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
02165511
LANSOPRAZOLE
Prevacid 30mg DR Cap
TPA
2.3425
0.5000
YES
YES
NO
02165503
LANSOPRAZOLE
Prevacid 15mg DR Cap
TPA
2.3425
0.5000
YES
YES
NO
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